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General NPI Number Information
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NPI Number | 1851806400
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Entity Type | Organization
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Legal Business Name | ROYAL CARE INCORPORATED
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Dates
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Enumeration Date | 12/05/2017
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Last Update Date | 02/15/2020
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Provider Practice Location Address
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Address Line | 3157 WESTOVER DR
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City | DANVILLE
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State | VA
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Zip | 24541-5449
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Country | US
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Telephone | 434-857-5793
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Fax | 434-857-5548
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Provider Business Mailing Address
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Address Line | 3232 RIVERSIDE DR
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City | DANVILLE
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State | VA
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Zip | 24541-3429
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Country | US
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Telephone | 434-857-5793
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Fax | 434-857-5548
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JULIUS MAKIRI JENGE
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Credential |
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Telephone | 804-573-7415
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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